Ocena kliniczna wybranych materiałów wypełnieniowych stosowanych w leczeniu choroby próchnicowej zębów mlecznych – 12-miesięczne obserwacje. Badania z randomizacją

*Paweł Jasiński, Emil Korporowicz, Piotr Sobiech, Dariusz Gozdowski, Dorota Olczak-Kowalczyk

Summary
Introduction: Restorations used to treat decay in primary dentition should be carefully chosen. Clinicians should consider not only properties of selected material, but also patients cooperation and specific character of primary dentition. In order to help dental professionals in making the optimal clinical choices, randomized controlled trials should be carried out.
Aim: The aim of the study was clinical evaluation of properties and durability of various restorative materials.
Materials and methods: This randomized control trial evaluated restorations in class I and class II cavities in primary molars. 160 fillings were placed using composite materials: Filtek Z250 and SDR; glass-ionomer cements: Fuji IX GP, Chemfill; and a resin-modified glass-ionomer cement: Fuji II LC. Clinical evaluation was performed at baseline and at 1 year using modified USPHS criteria. At 1-year recall, 33 SDR, 28 Fuji IILC, 40 Chemfill Rock, 28 Fuji IX GP, 24 Filtek Z250 restoration were assessed. Mean scores for materials were compared using Kruskal-Wallis test at a 0.05 probability level. Statistical analysis was performed using Statistica 9.0 (StatSoft) software.
Results: In total, 98.2% SDR, 95.2% Fuji II LC, 88% Chemfill Rock, 87.2% Fuji IX GP and 98.4% Filtek Z250 were assessed as excellent – achieving mainly scores of 1 and 2. During the one-year period, 2 Chemfill Rock restorations were lost due to integrity issues (partial or complete loss of restoration).
No significant differences between all materials were detected after one year for all evaluated clinical criteria (p > 0.05).
Conclusions: Results of the study revealed the positive assesment of all studied materials.

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